ALEXANDER YOUTH NETWORK (NPI# 1710344551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710344551 |
| Entity Type | Organization |
| Organization Name | ALEXANDER YOUTH NETWORK |
| Other Organization Name | BOLIVIA DAY TREATMENT |
| Practice Address |
4036 Business 17 E Bolivia NC 28422-8644 |
| Mailing Address |
6220 Thermal Rd Charlotte NC 28211-5630 |
| Practice Telephone | 9107038800 |
| Mailing Telephone | 7043668712 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | NELSON CRAIG BASS (PRESIDENT & CEO) |
| Authorized Official Telephone | 7043668712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Bolivia Day Treatment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1982246401 | Alexander Youth Network | Community/Behavioral Health | 2061 E Holly Grove Rd, Trailers #11 & #12, Lexington, NC 27292-9795 | 2019-10-16 |
| 1649831470 | Alexander Youth Network | Community/Behavioral Health | 1601 Huffine Mill Rd Bldg C, Greensboro, NC 27405-5509 | 2019-06-24 |
| 1316507551 | Alexander Youth Network | Community/Behavioral Health | 309 Concord St Ste 101&201, Greensboro, NC 27406-3661 | 2019-06-19 |
| 1740840990 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 | 2019-06-19 |
| 1073173340 | Alexander Youth Network | Community/Behavioral Health | 155 Northpoint Ave Ste 210, High Point, NC 27262-7738 | 2019-06-18 |
| 1386128031 | Alexander Youth Network | Community/Behavioral Health | 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 | 2018-09-19 |
| 1780174995 | Alexander Youth Network | Community/Behavioral Health | 401 Liberty Dr, Thomasville, NC 27360-4855 | 2018-05-14 |
| 1578067146 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220e Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-20 |
| 1811497639 | Alexander Youth Network | Community/Behavioral Health | 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 | 2018-02-19 |
| Street Address |
4036 BUSINESS 17 E |
| City | BOLIVIA |
| State | NC |
| Zip Code | 28422-8644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407373236 | Lori Cochard | Social Worker | 4036 Business 17 E, Bolivia, NC 28422-8644 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1962029942 | Novant Medical Group. Inc. | Family Medicine | 150 College Rd Ne, Bolivia, NC 28422 | 2020-06-25 |
| 1033730866 | Tamika Jocinda Yushaw | Social Worker | 25 Courthouse Drive Ne, Bolivia, NC 28422 | 2020-05-04 |
| 1821648882 | Daniel Burk | Physician Assistant | 584 Hospital Drive Suite A, Bolivia, NC 28422 | 2019-09-12 |
| 1427452283 | East Carolina University School of Dental Medicine-brunswick | Dentist | 100 Brunswick Medical Center Parkway, Bolivia, NC 28422 | 2014-10-22 |
| 1689080632 | Cecilia Liu | Dentist | 3071 Southport Supply Rd Se, Bolivia, NC 28422 | 2014-07-09 |
| 1922372341 | Lorie L Harding | Physician Assistant | 584 Hospital Dr Ne Unit C, Bolivia, NC 28422 | 2012-03-02 |
| 1902095383 | Cayce Mccall Patterson | Physical Therapist | 35 Referendum Dr, Brunswick County Schools, Bolivia, NC 28422 | 2007-10-22 |
| 1235288622 | Susan Beth Kam | Psychologist | 63 Stamp Act Drive, Bolivia, NC 28422 | 2007-01-09 |
| 1578632477 | Sarah E Oxford | Case Manager/Care Coordinator | 63 Stamp Act Dr, Building M, Bolivia, NC 28422 | 2006-11-06 |
| Find all providers in zip 28422 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303384 | Coastal Horizons Center Inc. | Community/Behavioral Health | 4036 Business 17 E Bldg 6004036, Bolivia, NC 28422-8644 | 2020-07-21 |
| 1700289428 | Latonya Lee Niang & Associates | Community/Behavioral Health | 3972 Business 17 E Ste E, Bolivia, NC 28422-9029 | 2014-10-08 |
| 1942644000 | Rha Health Services Inc | Community/Behavioral Health | 3972 Business 17 E Ste C, Bolivia, NC 28422-9030 | 2013-04-19 |
| 1396010047 | Saguaro Group, LLC | Community/Behavioral Health | 3972 Business 17 E, Ste C, Bolivia, NC 28422-9030 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.